Mountview

Updated 30 July 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Mountview is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Mountview is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service and three relatives about their experience of the care provided. We also carried out observations of care and support. We spoke with the registered manager, the managing director, the deputy manager, two care workers and a chef. We reviewed a range of records. This included four people’s care records and medication records for all 10 people. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection, we received feedback from two healthcare professionals involved with the service.

Updated 30 July 2022

About the service

Mountview is a care home providing personal care and accommodation to up to 10 people with mental health needs. The home is a detached, converted residential property with 10 single rooms and shared communal areas. At the time of our inspection there were 10 people using the service.

People’s experience of using this service and what we found

Although the provider had made improvement and supported people to maintain their independence in some areas of their daily lives, there were examples where this did not always happen.

People received personalised care that mostly reflected their needs and preferences. However, some people told us this could be improved. People were supported to maintain good health and had their nutritional needs met.

People were well cared for and the staff respected their privacy and dignity. There was a pleasant atmosphere and people told us they were happy.

People who used the service received their medicines safely and as prescribed. Safety checks were undertaken regularly, including fire safety and environment checks.

There were suitable systems in place to protect people from the risk of infection and cross contamination. The staff were aware of these and the systems had been reviewed and updated appropriately.

The provider had made improvements to ensure safe recruitment processes were implemented. These included recruitment checks, regular training and supervision. New staff were suitable and had the skills and knowledge they needed to support people.

People were protected from the risk of avoidable harm. The risks to people's safety and wellbeing had been identified, assessed or managed. The provider had appropriate systems for investigating allegations of abuse, complaints and concerns.

The provider's systems for monitoring and improving quality were operated effectively and there were systems in place to mitigate identified risks. The provider had processes for learning when things went wrong.

There was a positive culture at the service and people told us the staff treated them respectfully. This had improved since our last inspection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 20 May 2021).

Why we inspected

We undertook the inspection to see if the provider had made improvements since the last inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.